Facility Evaluation Report

On 05/09/23 at 02:32 PM, Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required Annual visit. LPA was greeted by Caregiver, Jose Vallejo. LPA observed that there is currently 1 resident, 1 additional caregiver present in the home and 3 residents in day program. LPA toured the facility inside and outside with caregiver, Jose Vallejo.

The facility has 5 bedrooms, 2 bathrooms, a kitchen, dining area, living room, entry room, attached garage, and backyard. LPA conducted a general overall inspection, which included, but was not limited to, the following:

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility is maintained at a 72 degrees F temperature. LPA inspected residents bedrooms; they are equipped with required furniture per regulations. An adequate supply of linens stored in the hallway closet. LPA inspected residents bathroom; bathroom was clean and appliances were operating appropriately. LPA tested the water temperature in the kitchen faucet which tested at 97.8 degrees F and in bathroom sink faucet which tested 97.1 degrees F. Technical violation issued for water temperature measuring below regulations. The facility is equipped with operating fire extinguisher, smoke detectors and carbon monoxide alarms. Posters such as; the personal rights, the CCL complaint poster, and disaster plans were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked. There was a designated locked storage space for residents/staff files, first aid kit and medication. There are no pools, bodies of water, firearms or ammunition. Overall, the facility is clean, in good repair, and operating in safe conditions.

One shaded patio, a side gate with self-latching handle on the left side of the house that leads into the backyard. All outdoor pathways were free of obstructions. There are fruit trees, fruits, vegetables and herbs planted in the back yard.